MEDICARE: BARRY ALAN KLEIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist		NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912952300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRY ALAN KLEIN

Provider Business Mailing Address
First Line	:	1130 BLACKWOOD CLEMENTON RD
Second Line	:
City	:	PINE HILL
State	:	NJ
Zip	:	08021-6965
Country	:	US
Telephone Number	:	856-783-3366
Fax Number	:	856-782-1648

Provider Business Practice Location Address
First Line	:	1130 BLACKWOOD CLEMENTON RD
Second Line	:
City	:	PINE HILL
State	:	NJ
Zip	:	08021-6965
Country	:	US
Telephone Number	:	856-783-3366
Fax Number	:	856-782-1648

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. BARRY ALAN KLEIN
Credential	:	D.P.M.
Telephone Number	:	856-783-3366

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	04/06/2010

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